How is haemorrhage after liver transplantation to return a responsibility

summary

Liver transplantation is still common in life, but bleeding after transplantation should not be taken lightly. Liver transplantation can be divided into orthotopic liver transplantation, heterotopic liver transplantation and orthotopic liver transplantation according to different planting sites of Gonggan. Orthotopic liver transplantation can be divided into classic liver transplantation and piggyback liver transplantation according to different anastomoses of donor liver vein and recipient inferior vena cava. At present, orthotopic liver transplantation (OLT) is the most popular operation in the world. In short, it is to implant the donor liver into the recipient's original liver according to the normal anatomical structure of the human body after resection of the patient's diseased liver. Let's share some experience.

How is haemorrhage after liver transplantation to return a responsibility

First, the bleeding and vascular complications after liver transplantation are the most common and dangerous. After the operation, the recent intraperitoneal hemorrhage refers to the massive hemorrhage occurred 72 hours after the transplantation. Vascular occlusion is also a major vascular complication after liver transplantation.

Second, biliary complications may also occur after liver transplantation. Biliary complications are one of the common complications after liver transplantation, with an incidence of 30%. Biliary fistula, biliary stricture, biliary sludge, biliary infection are the main causes of liver transplantation failure and survival rate.

Infection is the most common complication and cause of death after liver transplantation. The vast majority of liver transplant recipients have at least one bacterial infection, and 2 / 3 of them have more than one severe infection. Bacterial infection was mainly recent infection, which occurred within two weeks. The highest rate of pulmonary infection was followed by abdominal and biliary tract infection.

matters needing attention

Patients who have received liver transplantation must pay attention to regular examination after liver transplantation, because this is the key. After the conditional patients are discharged from the hospital, they should go to the hospital for examination every month in the previous year. We should continue to use drugs after operation to prevent the occurrence of various infections.